Individual provider · Type 1 NPI

Stephen John Shork, COTA

Occupational Therapy Assistant · Colchester, CT

NPI number 1114135787 Active

Practice location

59 Harrington Ct
Colchester, CT 06415-1207

Call (860) 537-2339 Map

Mailing address

20-42 Phillips Rd
Lisbon, CT 06351-7000

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000X000919 (CT)

Occupational Therapy Assistant: An occupational therapy assistant is a person who has graduated from an occupational therapy assistant program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, has successfully completed a period of supervised fieldwork experience required by the accredited occupational therapy assistant program, has passed a nationally recognized entry-level examinatio…

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About NPI 1114135787

Stephen John Shork, COTA's National Provider Identifier is 1114135787, issued on May 18, 2007. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Colchester, CT. The record was last updated on Jul 8, 2007.